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Neck of Femur Fractures; Roadside to Resus
The Resus Room
Analgesia in the Pre-Hospital Setting
There is no evidence that I could find comparing analgesic strategies for these patients in the pre-hospital setting. We need to start by addressing the static pain with a nice multimodal long-acting analgesic strategy. The next medicine to reach for, if paracetamol alone is inadequate, is morphine. End to nox is widely available and it's fast acting and it's got minimal side effects. It's also rapidly excreted. So you get that lovely short duration of action, which is perfect for that breakthrough dynamic pain. And I suppose that only other analgesic we should be thinking about is ketamine. You've come all way through to ketamine without mentioning any
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